| NPI | 1629195524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP30005302) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00118044) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-06-24 |